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Keokuk County, Iowa: environmental and disease records

Cancer mortality in Keokuk County is 162.3 deaths per 100,000 people per year against a U.S. rate of 143.2. Federal databases place 80 regulated facilities, sites and hazards inside the county, led by Air permit holder (minor source) (20), Industrial wastewater discharge (19), NPDES wastewater discharge permit (16). EPA AirToxScreen estimates a lifetime cancer risk from outdoor air toxics of 20 in a million, driven mainly by formaldehyde.

Rates are age-adjusted per 100,000 people. A cancer signal is marked significant when the lower bound of its 95 percent confidence interval is above the U.S. rate. Facility counts use active federal records located inside the county boundary. Approximate county center: 41.3369, -92.179.

How this county ranks in Iowa

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Cancer deaths and new cases versus the United States

Source: NCI and CDC State Cancer Profiles, both sexes, all ages. Sorted by the ratio of the county rate to the U.S. rate.

Cancer rates for Keokuk County compared with the United States
Cancer	Measure	County rate	U.S. rate	Times U.S.	95% interval	Years
Kidney & renal pelvis	New cases	30.8	17.9	1.72xSignificant	19 to 48	2019-2023
Bladder	New cases	23.3	18.7	1.25x	13 to 39.1	2019-2023
Lung & bronchus	New cases	62.4	51.8	1.2x	46.6 to 83	2019-2023
Melanoma of the skin	New cases	27.5	23.8	1.16x	15.3 to 45.7	2019-2023
All cancer	New cases	514.1	453.4	1.13xSignificant	460.2 to 573.1	2019-2023
All cancer	Deaths	162.3	143.2	1.13x	134.1 to 195.5	2020-2024
Lung & bronchus	Deaths	28.1	30.2	0.93x	17.7 to 43.6	2020-2024

Mortality measures versus the U.S. county median

Source: County Health Rankings, built from CDC National Vital Statistics System death records. The comparison value is the median of all U.S. counties.

Mortality measures for Keokuk County
Measure	County	U.S. median	Difference	Unit
Premature death	8,348.9	9,842.6	-15%	years of life lost before age 75 per 100,000
Life expectancy	76.7	75.3	+2%	years
Child mortality	n/a	59.8	n/a	deaths under age 18 per 100,000
Infant mortality	n/a	6.2	n/a	deaths under age 1 per 1,000 live births
Injury deaths	91.3	96.9	-6%	deaths per 100,000
Drug overdose deaths	n/a	28.6	n/a	deaths per 100,000

Air toxics and air quality

EPA AirToxScreen 2020

Lifetime cancer risk from outdoor air toxics: 20 in a million. EPA treats 100 in a million as the upper end of acceptable risk and 1 in a million as the goal.

Formaldehyde15.79 per million
Carbon Tetrachloride2.96 per million
Acetaldehyde1.46 per million
Benzene0.7 per million

EPA Air Quality Index

No EPA air quality monitor reports daily AQI for this county.

Regulated facilities, sites and hazards by type

80 active records inside the county from EPA ECHO, TRI, Superfund, Brownfields, NPDES, EIA, FAA, FRA and corrections data.

Air permit holder (minor source)20
Industrial wastewater discharge19
NPDES wastewater discharge permit16
Rail grade crossing12
Gas station (mapped facility)5
Major air pollution source1
Public airport1
Auto repair or body shop (mapped facility)1
Large greenhouse gas emitter1
Small hazardous waste generator1
Heliport1
Toxic chemical release facility (TRI)1
Wastewater plant (mapped facility)1

Highest-severity records

The 25 records with the highest Envyrofax severity in the county, with the agency identifier to cite in a records request.

Hedrick Wwtp, Hedrick
NPDES wastewater discharge permit.
EPA FRS registry ID 110011273237 (U.S. EPA ECHO) Agency record
Severity 4
Keota Wwtp, Keota
NPDES wastewater discharge permit.
EPA FRS registry ID 110039986076 (U.S. EPA ECHO) Agency record
Severity 4
Natural Gas Pipeline Co Of America - Station 109, Harper
Major air pollution source.
EPA FRS registry ID 110005749324 (U.S. EPA ECHO) Agency record
Severity 3.5
Delta Wwtp, Delta
NPDES wastewater discharge permit.
EPA FRS registry ID 110009725299 (U.S. EPA ECHO) Agency record
Severity 3.3
Sigourney East Wwtp, Sigourney
NPDES wastewater discharge permit.
EPA FRS registry ID 110039993754 (U.S. EPA ECHO) Agency record
Severity 3.3
South English, City Of Stp, South English
NPDES wastewater discharge permit.
EPA FRS registry ID 110044371827 (U.S. EPA ECHO) Agency record
Severity 3.3
Keota City Of Stp, Keota
Industrial wastewater discharge. Significant/Category I Noncompliance.
NPDES permit IA0035998: (U.S. EPA NPDES)
Severity 3
Jbs Live Pork Hedrick Feed Mill, Fremont
Toxic chemical release facility (TRI). Chemicals: Copper compounds, Manganese compounds, Zinc compounds.
TRI facility ID 5256WCRGLL117HW (U.S. EPA Toxics Release Inventory)
Severity 3
Sigourney City Of Stp (East), Sigourney
Industrial wastewater discharge. Violation Identified.
NPDES permit IA0036595: (U.S. EPA NPDES)
Severity 2.9
Natural Gas Pipeline Co Of America - Station 109, Harper
Large greenhouse gas emitter.
EPA FRS registry ID 110005749324 (U.S. EPA ECHO) Agency record
Severity 2.5
Richland Wwtp, Richland
NPDES wastewater discharge permit.
EPA FRS registry ID 110039691312 (U.S. EPA ECHO) Agency record
Severity 2.5
Keswick, City Of Stp, Keswick
NPDES wastewater discharge permit.
EPA FRS registry ID 110041270102 (U.S. EPA ECHO) Agency record
Severity 2.5
Tri-Cnty Cmnty Sch, Thornburg
NPDES wastewater discharge permit.
EPA FRS registry ID 110010030466 (U.S. EPA ECHO) Agency record
Severity 2.3
What Cheer Wwtp, What Cheer
NPDES wastewater discharge permit.
EPA FRS registry ID 110010035167 (U.S. EPA ECHO) Agency record
Severity 2
Belva Deer Park, Sigourney
NPDES wastewater discharge permit.
EPA FRS registry ID 110012689091 (U.S. EPA ECHO) Agency record
Severity 2
Wastewater Plant
Wastewater plant (mapped facility). Mapped facility presence only; no compliance or exposure measurements.
Record ID way/871745282 (OpenStreetMap contributors) Agency record
Severity 2
Tri-County Community School, Thornburg
Industrial wastewater discharge. Violation Identified.
NPDES permit IA0068390: (U.S. EPA NPDES)
Severity 1.8
Webster Wwtp, Webster
NPDES wastewater discharge permit.
EPA FRS registry ID 110036170265 (U.S. EPA ECHO) Agency record
Severity 1.8
Ollie, City Of Stp, Ollie
NPDES wastewater discharge permit.
EPA FRS registry ID 110044934202 (U.S. EPA ECHO) Agency record
Severity 1.8
Keswick, City Of Stp, Keswick
Industrial wastewater discharge. Violation Identified.
NPDES permit IA0079910: (U.S. EPA NPDES)
Severity 1.7
Wagler Motor Company, Sigourney
Small hazardous waste generator.
EPA FRS registry ID 110005741313 (U.S. EPA ECHO) Agency record
Severity 1.5
Kinross, City Of Stp (Russ), Kinross
NPDES wastewater discharge permit.
EPA FRS registry ID 110036164744 (U.S. EPA ECHO) Agency record
Severity 1.5
Wapello Rural Water Association, Delta
NPDES wastewater discharge permit.
EPA FRS registry ID 110039599235 (U.S. EPA ECHO) Agency record
Severity 1.5
Martinsburg Wwtp, Martinsburg
NPDES wastewater discharge permit.
EPA FRS registry ID 110041270095 (U.S. EPA ECHO) Agency record
Severity 1.5
Harper, City Of Stp, Harper
NPDES wastewater discharge permit.
EPA FRS registry ID 110041951563 (U.S. EPA ECHO) Agency record
Severity 1.5

Correctional facilities

Prisons, jails and corrections operations with an EPA facility record, and the drinking water and wastewater compliance attached to them.

No correctional facility with an EPA record is located in this county.

Discovery / public records

Records to request for Keokuk County

Iowa state cancer registry
Cancer incidence counts by census tract or ZIP code, by cancer type and year (de-identified). Any cancer cluster inquiries or investigations in Keokuk County, and their findings.
Iowa vital statistics office
Death certificate counts by cause of death and residence tract or ZIP code, and the years behind the mortality measures above.
Iowa health department, environmental epidemiology
Health consultations or assessments by ATSDR or the state health department covering the county, and any exposure investigations.
Iowa environmental agency and the U.S. EPA regional office
Compliance history, inspection reports, notices of violation, penalties and enforcement actions for each facility above, cited by EPA FRS registry ID.
Iowa drinking water program
Violation notices, sampling results and sanitary surveys for the public water systems serving the county, including any system serving a correctional facility.
Department of corrections or county sheriff
Water testing, grievances and environmental health inspections for the correctional facilities listed above.

Each Envyrofax address report includes a printable records request worksheet with the custodian and the exact request wording per finding.

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